Assessment of outcomes in postaneurysmal subarachnoid bleed patients admitted to the intensive care unit utilizing the subarachnoid haemorrhage international trialist clinicoradiological prediction model for dichotomised functional outcome and mortal

The cohort outcomes for mortality occurred at a rate higher than the risk predictions suggested using the logistic regression created by the SAHITs. Applying the externally trained model provided adequate discrimination and modest calibration, yet underestimated risk when applied to the intensive care cohort, reflected in the probability density function analysis. Using the SAHIT models in this cohort may result in underestimation of mortality for the individual patient, and the accuracy of the model is not sufficient for individual patient prediction. These results challenge the appropriateness of using admission-based models for dynamic ICU populations and highlight the urgent need for critical care-specific prognostic tools.

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Publication Details

Journal
Critical Care and Resuscitation
Published
2025-10-23
DOI
https://doi.org/10.1016/j.ccrj.2025.100126
Primary Topic
Intracranial Aneurysms: Treatment and Complications
Type
article
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article

Assessment of outcomes in postaneurysmal subarachnoid bleed patients admitted to the intensive care unit utilizing the subarachnoid haemorrhage international trialist clinicoradiological prediction model for dichotomised functional outcome and mortal

James Walsham, David Mogg
Critical Care and Resuscitation
Intracranial Aneurysms: Treatment and Complications
article

Assessment of outcomes in postaneurysmal subarachnoid bleed patients admitted to the intensive care unit utilizing the subarachnoid haemorrhage international trialist clinicoradiological prediction model for dichotomised functional outcome and mortal

James Walsham, David Mogg
article en

Abstract

The cohort outcomes for mortality occurred at a rate higher than the risk predictions suggested using the logistic regression created by the SAHITs. Applying the externally trained model provided adequate discrimination and modest calibration, yet underestimated risk when applied to the intensive care cohort, reflected in the probability density function analysis. Using the SAHIT models in this cohort may result in underestimation of mortality for the individual patient, and the accuracy of the model is not sufficient for individual patient prediction. These results challenge the appropriateness of using admission-based models for dynamic ICU populations and highlight the urgent need for critical care-specific prognostic tools.

Critical Care and ResuscitationVol. 27(4)
Queensland Police Service (AU), Mater Health Services (AU), Princess Alexandra Hospital (AU), Mater Private Hospital (AU), Mater Adult Hospital (AU)
Openalex Percentile: Top 54%
Intracranial Aneurysms: Treatment and Complications
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Assessment of outcomes in postaneurysmal subarachnoid bleed patients admitted to the intensive care unit utilizing the subarachnoid haemorrhage international trialist clinicoradiological prediction model for dichotomised functional outcome and mortal — James Walsham, David Mogg · Critical Care and Resuscitation (2025) | TGRS Research Map | TGRS